Provider Demographics
NPI:1326653197
Name:SMART AGING LLC
Entity Type:Organization
Organization Name:SMART AGING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-858-9800
Mailing Address - Street 1:405 LEXINGTON AVE FL 26
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10174-2699
Mailing Address - Country:US
Mailing Address - Phone:212-858-9800
Mailing Address - Fax:212-202-6140
Practice Address - Street 1:405 LEXINGTON AVE FL 26
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10174-2699
Practice Address - Country:US
Practice Address - Phone:212-858-9800
Practice Address - Fax:212-202-6140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-09
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health